Osborn J W, Skelton M M, Cowley A W
Am J Physiol. 1987 Mar;252(3 Pt 2):H628-37. doi: 10.1152/ajpheart.1987.252.3.H628.
The mechanisms whereby arginine vasopressin influences hemodynamic and autonomic function were investigated in conscious rats. In normal rats, 60-min intravenous infusions produced dose-related increases of arterial pressure and total peripheral resistance with marked decreases of both heart rate and cardiac output. Cholinergic blockade with methscopolamine attenuated the bradycardia at higher doses of vasopressin, whereby the fall of cardiac output was not affected. beta-Adrenergic blockade with atenolol attenuated the fall of heart rate seen with lower doses of vasopressin but did not prevent the fall of cardiac output. Ganglionic blockade with methscopolamine and hexamethonium resulted in nearly a 60-fold enhancement of vasopressin pressor sensitivity. This was related to a greater rise of peripheral resistance, since the fall of cardiac output was not altered compared with normal rats. Hemodynamic responses to angiotensin II were determined in other groups of conscious, normal rats and rats with ganglionic blockade. Peripheral resistance increased in the normal rats, whereas the related decreases in cardiac output and heart rate were only 30% of the responses seen with equipressor doses of vasopressin. Ganglionic blockade increased pressor activity only two- to eightfold compared with the 60-fold increase observed with vasopressin. We conclude that vasopressin is a more potent vasoconstrictor than angiotensin II, decreases cardiac output independent of neural mechanisms, and results in withdrawal of sympathetic vascular tone to buffer rises of arterial pressure.
在清醒大鼠中研究了精氨酸血管加压素影响血流动力学和自主神经功能的机制。在正常大鼠中,静脉输注60分钟会使动脉压和总外周阻力呈剂量依赖性增加,同时心率和心输出量显著降低。用甲基东莨菪碱进行胆碱能阻断可减轻较高剂量血管加压素引起的心动过缓,而心输出量的下降不受影响。用阿替洛尔进行β肾上腺素能阻断可减轻较低剂量血管加压素引起的心率下降,但不能阻止心输出量的下降。用甲基东莨菪碱和六甲铵进行神经节阻断可使血管加压素的升压敏感性提高近60倍。这与外周阻力的更大升高有关,因为与正常大鼠相比,心输出量的下降没有改变。在其他清醒正常大鼠和神经节阻断大鼠组中测定了对血管紧张素II的血流动力学反应。正常大鼠外周阻力增加,而心输出量和心率的相关下降仅为等升压剂量血管加压素反应的30%。与血管加压素观察到的60倍增加相比,神经节阻断仅使升压活性增加2至8倍。我们得出结论,血管加压素是比血管紧张素II更强效的血管收缩剂,可独立于神经机制降低心输出量,并导致交感神经血管张力减弱以缓冲动脉压升高。